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� CHECR OFF LIST FOR ISSIIANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ` . <br /> ADDRESS OR LEGAL: 2 30v (� '� �- N� PID: <br /> DESCRIPTION OF WORR: 1�dC.0 C3ARN <br /> ---------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: Z - i k -- `i `� <br /> BIIILDING RLVIEW BY: DAT$ APPROVED: Z-�`Y- � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes� No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No—�/ PARR FEE <br /> SAC � Yes No �/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------- <br /> ZONING CHECR LIST Zoning District: /ZQ-/� <br /> Fire Department:��?�"i�, Post Office: C,��-ca C•F,c� School District: 0 2bN0 <br /> Lot Area: b �'� Width: �q3•S'� Aut Depth: $31.8'6 /�v-C <br /> Survey Submitted: Yes�C No Date of Survey: /2 -9 Z <br /> Proposed Setbacks: <br /> Front (F�k�) : 5 32g,`r8' Right Side: 516.?6 <br /> Rear ('_'=�_�) : n� iy�' Left Side: i,J - ?5 � <br /> Adjacent Structures : /,Sb� Wetland: /t/�/4 <br /> Building Height: Def. Hgt. !S.25 � Peak Hgt. l8.5 � <br /> Avg. Setback: N�/3� Lot Coverage: 6 • I� <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-250 ' <br /> 250-500 ' <br /> 500-1000 ' <br /> Hardcover Varian Requi ed: Y s No ate of Co ncil Approval: <br /> Grading: Staff pproval. ate: By: Counc 1 Approval Date: <br /> Septic: Staff pproval D te: BY= <br /> Zoning File:# Re olutio #: Reso ution Date: <br /> REMARKS (in ouse) : <br />